First of all, we need to find out the cause of vomiting blood in liver cancer patients in order to prescribe the right medicine.
- Severe gastrointestinal reactions caused by chemotherapy drugs, frequent nausea and vomiting resulting in acute pancreatic mucosal tears.
- Vomiting blood after TACE procedure, transhepatic artery infusion chemotherapy, transhepatic artery embolization, and other treatments may cause impaired liver function, abnormal liver coagulation, and local ulceration by drug reflux.
- Upper gastrointestinal bleeding due to portal hypertension caused by cirrhosis, etc.
The common treatment is to administer hemostatic drugs, fasting and close monitoring of vital signs; if the amount of vomiting is large, prompt anti-shock treatment and rapid blood volume replacement are given.
Patients with hepatocellular carcinoma can be treated with appropriate drugs to reduce portal pressure, acid-suppressing antiemetic drugs, hepatoprotective drugs, growth inhibitors, etc. If necessary, a three-chambered, two-cystic tube can be used to stop the bleeding by compression, or endoscopic ligature hemostasis treatment or surgery.